| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.20 | $48.98 | $162.18 | |
CareFirst
| Professional | $134.90 | $177.83 | $389.05 | |
Kaiser Permanente
| Professional | $44.67 | $44.67 | $44.67 | |
United
| Professional | $16.98 | $44.67 | $61.66 |